| NPI | 1114507506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61178758) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019644) |
| Enumeration Date | 2021-04-10 |
| Last Update Date | 2025-11-19 |